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DR. KATHRYN ANN HACKMAN D.O.
NPI 1487099842
General Practice in Creve Coeur, MO

Active since April 30, 2013
12609 OLIVE BLVD, CREVE COEUR, MO 63141(314) 744-8020(314) 744-8021 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathryn Ann Hackman D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN ANN HACKMAN D.O. (NPI 1487099842) is an individual general practice provider in Creve Coeur, Missouri, licensed in Missouri (2004033969) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1487099842
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. KATHRYN ANN HACKMANCredential: D.O.
Location Address12609 OLIVE BLVDCreve Coeur, MO 63141-6313
Mailing Address12609 Olive BlvdCreve Coeur, MO 63141-6313 · (314) 744-8020 · Fax (314) 744-8021
Phone(314) 744-8020
Fax(314) 744-8021
Sole ProprietorNo
Enumeration DateApril 30, 2013
✔ NPI 1487099842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2004033969
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12609 OLIVE BLVD, Creve Coeur, MO 63141
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRACTICE OF ROSEMARY CANNISTRARO, LLC
Internal Medicine
12609 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 205-8344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Hackman's NPI number?

The NPI number for Kathryn Hackman is 1487099842. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Kathryn Hackman located?

Kathryn Hackman practices at 12609 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 744-8020.

What is Kathryn Hackman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kathryn Hackman was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.